The added value of MDCT enterography using oral lactulose solution in detection, characterization, and guiding management of small bowel disorders
Abstract Background Small bowel variable symptoms present a diagnostic challenge for both gastroenterologists and radiologists due to SI length, overlapping serpentine course and continuous motility. CT enterography was introduced in the last two decades as the cornerstone imaging modality in diagno...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-10-01
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| Series: | The Egyptian Journal of Radiology and Nuclear Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43055-022-00908-8 |
| _version_ | 1797985968426319872 |
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| author | Mohamed Shokrey Ali Ahmed Galal Sadek Eman Fouad Omran Maha Mohamed Maher Eman Mohamed Helmy |
| author_facet | Mohamed Shokrey Ali Ahmed Galal Sadek Eman Fouad Omran Maha Mohamed Maher Eman Mohamed Helmy |
| author_sort | Mohamed Shokrey Ali |
| collection | DOAJ |
| description | Abstract Background Small bowel variable symptoms present a diagnostic challenge for both gastroenterologists and radiologists due to SI length, overlapping serpentine course and continuous motility. CT enterography was introduced in the last two decades as the cornerstone imaging modality in diagnosing small bowel disorders using a mixture of an oral solution containing water and a gastrointestinal diluting agent. This study aims to demonstrate the added value of MDCTE in evaluating and guiding the management of small bowel disorders in order to reduce SI-related morbidity and mortality. Results Data analysis of 80 patient records involved in this study demonstrated the high accuracy of MDCTE in detecting different small bowel disorders and their related pathologies, confirmed by laboratory and histopathological analyses. Conclusions MDCT enterography with oral lactulose solution is now the mainstay of imaging in the detection, characterization, and guiding management of small bowel disorders with great value of low-dose techniques in CD patient’s follow-up in order to reduce ionizing radiation exposure. |
| first_indexed | 2024-04-11T07:26:26Z |
| format | Article |
| id | doaj.art-66beee8804cb4385941dbd4d06f37acc |
| institution | Directory Open Access Journal |
| issn | 2090-4762 |
| language | English |
| last_indexed | 2024-04-11T07:26:26Z |
| publishDate | 2022-10-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Radiology and Nuclear Medicine |
| spelling | doaj.art-66beee8804cb4385941dbd4d06f37acc2022-12-22T04:37:04ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine2090-47622022-10-0153111310.1186/s43055-022-00908-8The added value of MDCT enterography using oral lactulose solution in detection, characterization, and guiding management of small bowel disordersMohamed Shokrey Ali0Ahmed Galal Sadek1Eman Fouad Omran2Maha Mohamed Maher3Eman Mohamed Helmy4Radiology Department, Faculty of Medicine, Mansoura UniversityFaculty of Medicine, Mansoura UniversityGastroenterology Surgical Center, Mansoura UniversityFaculty of Medicine, Mansoura UniversityFaculty of Medicine, Mansoura UniversityAbstract Background Small bowel variable symptoms present a diagnostic challenge for both gastroenterologists and radiologists due to SI length, overlapping serpentine course and continuous motility. CT enterography was introduced in the last two decades as the cornerstone imaging modality in diagnosing small bowel disorders using a mixture of an oral solution containing water and a gastrointestinal diluting agent. This study aims to demonstrate the added value of MDCTE in evaluating and guiding the management of small bowel disorders in order to reduce SI-related morbidity and mortality. Results Data analysis of 80 patient records involved in this study demonstrated the high accuracy of MDCTE in detecting different small bowel disorders and their related pathologies, confirmed by laboratory and histopathological analyses. Conclusions MDCT enterography with oral lactulose solution is now the mainstay of imaging in the detection, characterization, and guiding management of small bowel disorders with great value of low-dose techniques in CD patient’s follow-up in order to reduce ionizing radiation exposure.https://doi.org/10.1186/s43055-022-00908-8Small intestine (SI)CT enterography (CTE)Crohn’s disease (CD)Lemmel syndromeSuperior mesenteric artery syndrome (SMA)Median arcuate ligament syndrome (MALS) |
| spellingShingle | Mohamed Shokrey Ali Ahmed Galal Sadek Eman Fouad Omran Maha Mohamed Maher Eman Mohamed Helmy The added value of MDCT enterography using oral lactulose solution in detection, characterization, and guiding management of small bowel disorders The Egyptian Journal of Radiology and Nuclear Medicine Small intestine (SI) CT enterography (CTE) Crohn’s disease (CD) Lemmel syndrome Superior mesenteric artery syndrome (SMA) Median arcuate ligament syndrome (MALS) |
| title | The added value of MDCT enterography using oral lactulose solution in detection, characterization, and guiding management of small bowel disorders |
| title_full | The added value of MDCT enterography using oral lactulose solution in detection, characterization, and guiding management of small bowel disorders |
| title_fullStr | The added value of MDCT enterography using oral lactulose solution in detection, characterization, and guiding management of small bowel disorders |
| title_full_unstemmed | The added value of MDCT enterography using oral lactulose solution in detection, characterization, and guiding management of small bowel disorders |
| title_short | The added value of MDCT enterography using oral lactulose solution in detection, characterization, and guiding management of small bowel disorders |
| title_sort | added value of mdct enterography using oral lactulose solution in detection characterization and guiding management of small bowel disorders |
| topic | Small intestine (SI) CT enterography (CTE) Crohn’s disease (CD) Lemmel syndrome Superior mesenteric artery syndrome (SMA) Median arcuate ligament syndrome (MALS) |
| url | https://doi.org/10.1186/s43055-022-00908-8 |
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